Radiology

Role Purpose:

The Radiology Registrar is a qualified medical professional in diagnostic radiology working under the direct clinical supervision of the Radiology Consultant. The role holder is responsible for performing and independently reporting diagnostic ultrasound examinations, and for producing supervised reports for plain radiography across a range of clinical indications. In addition to core reporting duties, the Registrar actively contributes to the clinical, operational, and educational functions of the Radiology Department, developing the comprehensive competencies required for independent consultant-level practice.

1. Diagnostic Ultrasound Examination and Performance

• Independently perform a comprehensive range of diagnostic ultrasound examinations, including abdominal, pelvic, obstetric, gynecological, in accordance with departmental protocols and referring physician requests.
• Verify patient identity and confirm the clinical indication and anatomical site of each examination prior to commencement, adhering to institutional patient safety and identification standards.
• Select the most clinically appropriate transducer, adjust equipment parameters — including frequency, gain, depth, and Doppler settings — and apply sound scanning technique to achieve optimal image quality for each examination type.
• Recognize incidental, unexpected, or clinically significant sonographic findings during the examination and escalate promptly to the supervising Radiology Consultant where findings exceed the Registrar's current scope of independent reporting.
• Perform targeted and follow-up ultrasound examinations as directed by the Radiology Consultant, contributing to the management of complex or multidisciplinary cases.
• Assist the Radiology Consultant during ultrasound-guided interventional procedures, including biopsies, aspirations, and drainages, progressively acquiring procedural competency under direct supervision.
• Participate in supervised review and interpretation exposure for CT and MRI examinations as approved within training scope.

2. Ultrasound and Plain Radiograph Reporting.

• Produce clear, concise, and clinically accurate written reports for diagnostic ultrasound examinations within the scope of the Registrar's current training level and as agreed with the supervising Radiology Consultant.
• Prepare preliminary reports for plain radiographic examinations — including chest, skeletal, abdominal, and emergency X-rays — for review, verification, and countersignature by the supervising Radiology Consultant prior to formal release.
• Communicate significant, urgent, or unexpected radiological findings to referring clinicians verbally in a timely manner, followed by formal written documentation, in strict compliance with the departmental critical results communication protocol.
• Participate in structured report review and feedback sessions with the supervising Radiology Consultant to identify reporting gaps, reinforce diagnostic accuracy, and progressively develop independent reporting competency.
• Transfer all finalized image sets and associated preliminary reports to the Picture Archiving and Communication System (PACS) and Radiology Information System (RIS) accurately and without delay.
• Ensure all reports are documented in the electronic health record (EHR) in accordance with institutional medical records standards and relevant accreditation requirements.

3. Clinical Quality and Safe Practice

• Deliver safe, high-quality, and patient-centered clinical care in all diagnostic and reporting activities, adhering to evidence-based guidelines and departmental clinical protocols at all times.
• Participate actively in departmental quality assurance initiatives, clinical audits, morbidity and mortality reviews, and peer review processes, contributing constructively to the identification of improvement opportunities.
• Report all clinical incidents, adverse events, near-misses, and unexpected findings through the institutional incident reporting framework in a timely and transparent manner.
• Ensure full compliance with CBAHI, JCI, and other applicable accreditation standards as they relate to the Registrar's scope of clinical practice.
• Contribute to the development and periodic review of radiology reporting guidelines, examination protocols, and departmental standard operating procedures as directed by the Radiology Consultant.
• Maintain awareness of and adherence to all radiation safety regulations and institutional radiation protection policies applicable to diagnostic imaging activities.

4. Multidisciplinary Collaboration and Clinical Communication

• Participate actively in multidisciplinary team (MDT) meetings, tumor boards, and clinical case conferences, providing well-reasoned radiological input and image review in support of integrated patient care planning.
• Maintain clear, professional, and timely communication with referring physicians, surgeons, and other clinical stakeholders regarding imaging findings, differential diagnoses, and recommendations for further investigation or management.
• Liaise effectively with radiology technicians, sonographers, and nursing staff to ensure smooth coordination of patient workflows, examination scheduling, and departmental operations.
• Support the Radiology Consultant in responding to urgent or out-of-hours imaging referrals, providing clinically appropriate preliminary interpretations within the approved scope of supervised practice.
• Build and sustain effective collaborative relationships with clinical teams across all departments, reinforcing the Radiology Department's role as a valued and accessible diagnostic partner.

5. Training, Specialty Development and Supervised Practice

• Engage proactively and constructively in all aspects of the structured radiology training program, fulfilling the learning objectives and competency milestones agreed with the Radiology Consultant and the relevant training authority.
• Maintain a detailed and up-to-date portfolio of clinical experience, procedural log, and reflective practice documentation in accordance with specialty training requirements.
• Attend and contribute to departmental academic activities, including grand rounds, teaching sessions, journal clubs, case presentations, and radiology conferences.
• Engage in Continuing Medical Education (CME) activities and maintain compliance with all professional development requirements stipulated by the Saudi Commission for Health Specialties (SCFHS) and the relevant specialty board.
• Actively seek regular formative feedback from the supervising Radiology Consultant and incorporate learning points systematically into clinical practice.
• Contribute to the supervision and bedside teaching of medical students, junior doctors, and radiology technicians as appropriate to the Registrar's level of training and experience

6. Professional Conduct, Governance and Patient Safety

• Uphold the highest standards of medical ethics, professional integrity, and patient confidentiality in all clinical and administrative interactions.
• Operate strictly within the defined scope of supervised practice at all times, seeking timely guidance and escalation from the supervising Radiology Consultant for cases that exceed current competency boundaries.
• Comply fully with all institutional policies, clinical governance frameworks, and regulatory requirements applicable to a trainee medical specialist, including those set by the SCFHS and relevant accreditation bodies.
• Promote and actively contribute to a culture of patient safety, clinical accountability, and continuous improvement within the Radiology Department.
• Complete all mandatory institutional education, credentialing, and compliance requirements within stipulated deadlines.
• Maintain strict confidentiality of all patient data and institutional information, and adhere to cybersecurity and data protection policies at all times

• A minimum of 2 years of clinical experience, with demonstrated exposure to diagnostic radiology practice. Prior hands-on experience in ultrasound scanning and plain film interpretation is strongly preferred

• Active medical licensure and registration (Registrar Radiology ) with the Saudi Commission for Health Specialties (SCFHS) at the appropriate training grade. The role holder must maintain valid licensure throughout the duration of appointment.

• Demonstrated hands-on competency in performing diagnostic ultrasound examinations across abdominal, pelvic, obstetric, gynecological, and small parts indications.

• Developing proficiency in the systematic interpretation and reporting of ultrasound findings across a broad spectrum of clinical presentations.

• Sound foundational knowledge in the interpretation of plain radiographs, including chest, skeletal, abdominal, and emergency imaging.

• Familiarity with PACS/RIS platforms, structured reporting tools, and electronic health record (EHR) documentation systems.

• Strong clinical reasoning and differential diagnosis skills, with a commitment to evidence-based radiological practice.

• Effective written and verbal communication skills, with the ability to produce well-structured, clinically actionable radiology reports.

• Professional and empathetic interpersonal skills, with demonstrated ability to communicate sensitively with patients, families, and multidisciplinary clinical teams.

• Self-motivated, intellectually curious, and committed to progressive specialty development within a supervised training environment.

Post graduate or Master’s degree in Radiology or equivalent